Individual
CLARA TERESA VANSCYOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22301 FOSTER WINTER DR, 2ND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 557-3506
Mailing address
22301 FOSTER WINTER DR, 2ND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 557-3506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301034457
MI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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